Individual provider Active NPI

Lindsay Ann Dalluge, R.D., L.D.

  • Registered Dietitian
  • Fairmont, MN
National Provider Identifier
1093152829
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3102 Issued in MN
Practice address
907 S State St
Fairmont, MN 56031-4441
Phone
(507) 238-4323
NPI assigned
Jun 3, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3102MNMDOptometrist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3102 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

907 S State St
Fairmont, MN 56031-4441

Mailing address

907 S State St
Fairmont, MN 56031-4441
Phone (507) 238-4323

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 3, 2013.

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1093152829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 S STATE ST",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314441",
            "telephone_number": "507-238-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 S STATE ST",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314441",
            "telephone_number": "507-238-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLUGE",
        "first_name": "LINDSAY",
        "middle_name": "ANN",
        "credential": "R.D., L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.